Autoinflation

Autoinflation is a medical procedure that is often used to manage otitis media with effusion (OME), a condition where fluid accumulates in the middle ear without signs of acute infection. The procedure involves the patient performing a Valsalva maneuver or swallowing while pinching the nose, which can help to open up the Eustachian tube and allow the fluid to drain.

Procedure

The autoinflation procedure is relatively simple and can be performed at home. The patient takes a deep breath, pinches their nose, and then attempts to exhale through the nose. This creates a positive pressure in the nasopharynx, which can help to open the Eustachian tube and allow the fluid to drain from the middle ear. Alternatively, the patient can swallow while pinching the nose, which can also help to open the Eustachian tube.

Efficacy

Several studies have shown that autoinflation can be an effective treatment for OME. A systematic review published in the Cochrane Database of Systematic Reviews found that autoinflation can improve middle ear function in children with OME. However, the authors noted that more research is needed to determine the long-term effects of the procedure.

Risks and Complications

While autoinflation is generally considered safe, there are some potential risks and complications. These include discomfort or pain during the procedure, and the potential for damage to the Eustachian tube or middle ear if the procedure is performed incorrectly. Patients should always consult with a healthcare professional before attempting autoinflation.

See Also

• Otitis media
• Eustachian tube dysfunction
• Valsalva maneuver